WHO Conference on WHO Conference on Health Aspects of Tsunami Health Aspects of Tsunami
Disaster in AsiaDisaster in Asia
PhuketPhuket, Thailand , Thailand 44––6 May 20056 May 2005
RECOVERY & REPAIR IN ACEH AFTER THE
EARTHQUAKE & TSUNAMI
Indonesian Disaster MedicalRelief Committee Aryono D.Pusponegoro
President: Indonesian College of Surgeons Chairman:118 Emerg.Amb.Service Foundation
ACEH Recovery & Repair :Aceh EQ & Tsunami
Disaster Response Late. Management Support Chaos.Medical Support Makassar, Bali,
Surabaya, Malang, Jogyakarta, Jakarta, Bandung, Palembang 118 IEMSS.
Predictable !!!Our Day To Day Emerg. Care Bad
ACEH Recovery & Repair :Disaster Management
Day to Day Emergencies.
Disaster / Mass Casualties.
It Is Imposible To Manage Disasters Properly If The Day To Day Emergency Care Is Bad !!!
Disasters & Mass Casualties In Indonesia 1980 – 2005 :1. Mt Galunggung 19802. Food Poisening West
Jakarta 19813. Harbor Fire Tg Priok
North Jakarta 19814. Gas Leak Tg Proik Jakarta 1987
8. Toll RD Crash 19859. Jakarta Atmajaya Hosp.
Flood 198610.JKT Fatmawati Hosp.
Evac.Munition Explosion.
11.JKT Bintaro Train Crash 1987
12.JKT Koja Hosp. Isolation (TgPriok Riots) 1987
13.Food Poisening JKT Factory1988
19825. EQ West Java 19836. Hotel Fire Jkt 19857. Plane Crash Krawang
West Java 1985
Disasters & Mass Casualties In Indonesia 1980 – 2005 :14.EQ Flores 199115.JKT Riots 199216.Jkt Floods 1991&199217.Tsunami Lombok 199318.EQ Liwa 199319.Mt Merapi Eruption
Jogya 199520.EQ Kerinci 1995
21.Riots PDI-P Political Party Jkt 1996
22.EQ & Tsunami Biak1997
23.EQ South Sulawesi1997
24.Ethnic Riots Pontianak1997
25.EQ Bengkulu 199726.Ethnic Riots Sampit 2001
Bencana & Korban Masal DiIndonesia 1980 – 2004 :27.Displaced Persons in
Madura, Poso, West & East Nusa Tenggara, Papua, West Java, Middle Java, Molucus, North Molucus, North Sulawesi 2001
28.Drought In Sampang Borneo2001
29.Mt Papandayan Erruption2002
30.Train Crash BrebesMiddle Java 2002
31.Land Slide East Java 200232.Flood North Sumatra 2002
32.Floods Pekalongan & Semarang Middle Java 2002
33.Relegious Conflict / Riots Ambon 1999–2002
34.Relegious Conflict / Riots Palu South East Sulawesi1999 –2002
35.Papua Riots 1999–200236.Terorist Bombings (32x) Jkt
1998-200237.Political Riots Jkt 1998-2002
Bencana & Korban Masal DiIndonesia 1980 – 2004 :
45. EQ Nabire Papua (2X)2004
46. Aceh EQ & Tsunami 2004
46. EQ Palu South East Sulawesi2005
47. Drought East Nusa Tenggara2005
48. EQ West Java 2005 49. Trash Dump Landslide
Bandung 200550. EQ Nias & Simulue
2005
38. Jkt 3 weeks Floodings 200239. Nunukan Displaced Migrant
Worker 200240. Bali Terrorist Bombing 200241. Htl Marriott Jkt Terrorist
Bombing 200342. Gresik East Java Chemical
Factory Explosion 200443. Australian Emb. JKT Terrorist
Bombing 2004 44. Gempa Karang Asem Bali
2004
Response Time :Bintaro (Jkt) Train Crash 1987 8 – 10 minLiwa EQ 1993 24 hrs.Kerinci EQ 1995 48 hrs.1st Mt.Merapi Erupt. 1995 --2nd & 3rd Merapi Erupt. 1996 30 min. Biak EQ / Tsunami 1997 7 days.Bengkulu EQ 2000 12 hrs.Nunukan 2002 5 days.Bali Bomb 2002 12 hrs.,Marriott & Aus Emb 2004 10 – 30Aceh 2004 24 hrsNias 2005 ? hrs
IEMSS & Safe Community :
All Kind of Disaster : Man Made.Natural.
Jakarta Western Part of Indonesia.Surabaya Eastern Part.Makassar.
WE ARE ALWAYS TOO LATE !!!Bengkulu / Nunukan.
Aceh Response Medical Support :• 1st Medical Team :
Prof Aryono D.Pusponegoro & Prof Idrus Paturusi & Med.Team 24 Hrs
• Med. Teams from Makassar, Denpasar, Malang, Jakarta, Palembang, ( B Aceh, Aceh Jaya, Aceh Besar, West Coast)Bandung &Jogyakarta (Meulaboh),Surabaya & North Sumatra (EastCoast)
48 – 72 Hrs.• Foreign Med.Teams 72 Hrs & > Hrs.• Ind & Foreign NGO Med Teams ???
Aceh Response Management Support :• Chaos No Coordination.• Indonesian Disaster Medical Relief Team WHO
Management SupportUnofficial Command & Control Center ( EAS 118) Logisticsfrom Pharmaceutical Companies.CoorditanionsMedical Teams.Military, Faqinah & Zaenal Abidin Hospitals, Meulaboh, East Coast, Swiss & Danish Field Hosp.3rd day Faqinqah Hosp. Reopened & Zaenal Abidin Started Cleaning Up 4th day.118 Emergency Ambulance Service from Jakarta
Refugee Camps, Inter Hosp Transport, Medevac, Aero Medevac
NIAS & SIMULUE :Nias
North SumatraIDMRC (Prof Idrus), Bdng, TNI, Asing, WHO
Simulue NAD, WHOSibolga Medical Support ?
Management Support ?Medan Air Force Base
Medical Support / Triage Officer (-)Management Support (-).
RS Pirngadi & H Adam Malik
IEMSS & Safe Community :Indonesia No EMS / System.Committee on Trauma (1997 SBY) Integrated Emergency Medical Service System (IEMSS) (Pre Hosp & Hosp PhaseComm.on Trauma, MOH, Other Proff. Org. Makassar 2000 Declaration :Safe Community Safe & Healthy in Urban / Rural Areas.
Layman
PoliceFire Brigade
Security GuardCivil Defense
ScoutsRed Cross
AccessEmergency
Telephone Number
E.D. I.C.U WardEmergencyAmbulance
Service
Rehabilitation
PublicHealthCenter
Pre-Hospital Phase
DISASTER
Hospital Phase
Post Grad. Educ. Course :Collapsed Structure Search & Rescue (CSSR) USAID / OFDA (2002).Major Incident Medical & Management Support (MIMMS) 2001.Hosp. Emerg. Incident Command System (HEICS).Hospital Preparedness For Emergencies (HOPE) & Disasters USAID / OFDA (2003).
ATLS (1995) Comm. On Trauma Ind. Surg. Ass. PHTLS, BTLS
ACLS (1996) PHCLS, BCLS.
APRC / APLS (1999) PET / NET, BPLS.
ANLS (2002) PHNLS, BNLS.
Medical First Responder (MFR) USAID / OFDA (2000).
Urban / Rural Emergencies Spain (2002).
IEMSS & Safe Community :TRAINING :
BLS (Layman)MFR (Paramedic EMT Basic).Paramedic I, II, III = EMT Basic, Intermediate, Paramedic.“Emergency Nurse” (BTLS, BCLS, BNLS, BPLS & Disaster Management).“Emergency Physician” (ATLS, ACLS, ANLS, APLS & Disaster Management.HOPE For Hospital Managers :Risk Assessment & ManagementStructural & Functional CollapseManagement & Medical Support
Medical Resourches & Geo Mapping :1999 Indonesia :
6020 Public Health Centers.4280 Public Health Center Ambulances7267 Doctors in Public Health Centers.12602 Doctors in Hospitals.1145 Hospitals.
Medical Resourches & Geo Mapping :2005 Jakarta :
331 Public Health Centers.45 Public health Center Ambulances.
591 General Physicians.109 Hospitals.50 118 Emerg. Ambulaces & 10 Motorcycle Ambulances
Post Grad. Educ. Course :
Post Grad. Educ. Courses&
Medical Resourches
IEMSS & Safe Community
ACEH Recovery & Repair :Current Situation :
14 Functioning Hospital.6 Hospitals in Banda Aceh.Sigli, Bireun, Langsa, Takengon, Meulaboh, each 1 Hospital.Lokseumawe 3 Hospitals.Red Cross Fascilities.52 Refugee Camps with 5000 – 10.000 Inhabitants
Primary Health Care Only, No Specialistic Care.
Safe Community, IEMSS, 118 IEAS
City City International (Safe Community)
Distric
Province
Phases of Disaster Response
I. Acute phase Surgical CasesRapid Response DisasterAmbulance.
II. Non Surgical Cases Field HospitalIII. Chronic phase Chronic Cases,
Refugees Camps Mobile Clinic
A1
Slide 23
A1 ARYONO, 2005-02-15
Indonesian Disaster Medical Relief Committee (IDMRC):
Supported by 20 Indonesian Medical Professional Association / CollegesOrgan of the Ind.Doctors Assc.Programe :
SHORT TERM ACEHMobile Clinic.Training.Planning for the rebuilding of hospitals & Teaching Hospital in Aceh. Safe Communitty for Aceh (118 IEMSS & Emerg. Departments Network)
LONG TERM :Preparedness for future disasters.
Short Term Programe ACEH 1. Mobile Clinic Personel :• 118 Emergency Ambulance & Nurse Paramedics.• Pediatrician.• Obgyn.• Medical.• Dermatologist.• Psychiatrist.• Surgery.• Public Health.• Rehabilitation Medicine.• Drugs & Vaccines
Mobile Clinic :• Six Wheeler.• Double Cabin 7 – 9 personel.• Back Cabin Minor Surg. & Obgyn.• Medical Equipment Storage.• Drugs Compartment Dispensary.• Foldable Tents on the Right, Left &
Back Examinations.• Generator.
Short Term Programe ACEH2. Safe Communitty:• 118 IEMS.• Emergency Dept (Banda Aceh 8
Hospitals) / Public Health Centers• Radio Communication.• 110 Security (Police).• 113 Rescue (Fire Brigade).• 118 118 Emergency Amb. Service.
Short Term Programe ACEH3. Training :• BLS Layman (8 Hrs).• Paramedic Basic MFR (1 week).• “Emergency Nurse” BTLS, BCLS, BNLS,
BPLS & Disaster Management (14 days).• “Emergency Physician” ATLS, ACLS,
ANLS, APLS & Disaster Management (14 days).
• HOPE Hospital Management (4 days).
Long Term Programe : Future Disasters• Medical Support :
(Makassar, Denpasar, Surabaya, Malang, Jogyakarta, Jakarta, Bandung, Palembang)Rapid Response Disaster Ambulance.Field Hospital.Mobile Clinic
• Management Support :Coordination.Logistics.Manpower. Etc.
Thank You